Data Interoperability in Context: The Importance of Open-Source Implementations When Choosing Open Standards Article Swipe
D. Kapitan
,
Femke Heddema
,
André Dekker
,
Melle Sieswerda
,
Berend Verhoeff
,
Matt Berg
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2196/66616
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2196/66616
Following the proposal by Tsafnat et al (2024) to converge on three open health data standards, this viewpoint offers a critical reflection on their proposed alignment of openEHR, Fast Health Interoperability Resources (FHIR), and Observational Medical Outcomes Partnership (OMOP) as default data standards for clinical care and administration, data exchange, and longitudinal analysis, respectively. We argue that open standards are a necessary but not sufficient condition to achieve health data interoperability. The ecosystem of open-source software needs to be considered when choosing an appropriate standard for a given context. We discuss two specific contexts, namely standardization of (1) health data for federated learning, and (2) health data sharing in low- and middle-income countries. Specific design principles, practical considerations, and implementation choices for these two contexts are described, based on ongoing work in both areas. In the case of federated learning, we observe convergence toward OMOP and FHIR, where the two standards can effectively be used side-by-side given the availability of mediators between the two. In the case of health information exchanges in low and middle-income countries, we see a strong convergence toward FHIR as the primary standard. We propose practical guidelines for context-specific adaptation of open health data standards.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2196/66616
- OA Status
- gold
- Cited By
- 4
- References
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- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
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https://openalex.org/W4408488651Canonical identifier for this work in OpenAlex
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https://doi.org/10.2196/66616Digital Object Identifier
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Data Interoperability in Context: The Importance of Open-Source Implementations When Choosing Open StandardsWork title
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
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2025-03-16Full publication date if available
- Authors
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D. Kapitan, Femke Heddema, André Dekker, Melle Sieswerda, Berend Verhoeff, Matt BergList of authors in order
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https://doi.org/10.2196/66616Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.2196/66616Direct OA link when available
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Preprint, Interoperability, Computer science, Open source, Context (archaeology), Implementation, World Wide Web, Data science, Software engineering, Operating system, Software, Paleontology, BiologyTop concepts (fields/topics) attached by OpenAlex
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4Total citation count in OpenAlex
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2025: 4Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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